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depressive personality disorder
Clinical manifestations:
- outlook on life is excessively pessimistic
- guilt-prone
- poor self-esteem
- elderly:
- commonly occurs with depression in the elderly
Management:
- differentiate between negative attitude & symptoms of major depression
- avoid becoming pessimistic with attempts to provide care
- focus on a supportive, nonjudgemental therapeutic relationship
- lower expectations
- psychotherapy
- identify emotions
- redirect negative attitudes toward contructive activities
General
provisional personality disorder
References
- Geriatric Review Syllabus, 7th edition
Parada JT et al (eds)
American Geriatrics Society, 2010